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10.1007/s00423-020-01948-2

http://scihub22266oqcxt.onion/10.1007/s00423-020-01948-2
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32720012!7384558!32720012
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suck abstract from ncbi


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pmid32720012      Langenbecks+Arch+Surg 2020 ; 405 (6): 861-866
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  • Acute abdomen in patients with SARS-CoV-2 infection or co-infection #MMPMID32720012
  • Seeliger B; Philouze G; Cherkaoui Z; Felli E; Mutter D; Pessaux P
  • Langenbecks Arch Surg 2020[Sep]; 405 (6): 861-866 PMID32720012show ga
  • PURPOSE: Patients with an acute abdomen require emergency surgery. SARS-CoV-2 infection can affect multiple organ systems, including the digestive tract. Little is known about the consequences of COVID-19 infection in emergency surgical patients. METHODS: Perioperative data for COVID-19 patients undergoing emergency surgery from March 1, 2020, to May 23, 2020 were collected prospectively (NCT04323644). RESULTS: During this period, 215 patients underwent surgery, including 127 patients in an emergency setting, of whom 13 (10.2%) had COVID-19. Two scenarios were identified: (a) patients who were admitted to a hospital for an acute surgical condition with a concomitant diagnosis of COVID-19, and (b) patients with severe COVID-19 developing acute abdominal pathologies during their hospital stay. When compared with those in group B, patients in group A globally recovered better, with a lower mortality rate (14.3% vs. 33.3%), lower ARDS rate (28.5% vs. 50.0%), less rates of preoperative invasive ventilation (14.3% vs. 50.0%) and postoperative invasive ventilation (28.5% vs. 100.0%), and a shorter duration of invasive ventilation. No causality between SARS-CoV-2 infection and gastrointestinal affliction was found. CONCLUSION: Our observations underline that mild co-infection with COVID-19 did not result in more complications for emergency abdominal surgery. Howe, an acute abdomen during severe COVID-19 infection was part of an unfavorable prognosis.
  • |*Betacoronavirus[MESH]
  • |Abdomen, Acute/diagnosis/*surgery/*virology[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19[MESH]
  • |Cohort Studies[MESH]
  • |Coinfection[MESH]
  • |Coronavirus Infections/*complications/*diagnosis/therapy[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*complications/*diagnosis/therapy[MESH]
  • |Postoperative Complications/*epidemiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Survival Rate[MESH]


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